Case Presentation: A 30-year-old man with no significant medical history was brought to the ED for a ventricular fibrillation (VF) arrest after he was hit in the chest by a soccer ball during a game. After successful resuscitation, exam was notable for a 3/6 systolic murmur heard in the 5th intercostal space at the left [...]

Case Presentation: The patient is a 58-year-old hispanic man with a past medical history of decompensated hepatitis C virus, alcoholic cirrhosis, hepatocellular carcinoma (HCC), and asthma who presented for definitive management of his known hepatic mass. Based on prior work up and imaging, this mass was presumed to be HCC. He presented to the hospital [...]

Case Presentation: A 78-year-old female with dextrocardia presented to the hospital from her outpatient dermatologist for hypotension, hypoxia, and altered mental status. She became diaphoretic, dyspneic (SpO2 78%), and hypotensive with systolic blood pressure in the 80s after applying topical lidocaine for a microneedling procedure. Initial exam noted diaphoresis, diffuse facial erythema and flushing, orolabial [...]

Case Presentation: A 48-year-old female with Hashimoto’s thyroiditis (on Synthroid), prediabetes, and active tobacco use (30 pack-years) who exercises daily presented to the ER with chest pain after a high-intensity workout. The pain radiated to her left arm and neck and intensified to 10/10, associated with palpitations.On exam, she had cool extremities and diaphoresis. Vital [...]

Case Presentation: An 80-year-old male with a history of atrial fibrillation post-ablation on apixaban, COPD, hypertension, and Stage IIIC malignant melanoma post-immunotherapy with nivolumab complicated by non-resolving pneumonitis presented with worsening dyspnea and tachycardia. In the ED, he was found to have atrial flutter with rapid ventricular response (RVR), elevated high-sensitivity troponin, and brain natriuretic [...]

Case Presentation: A 41-year-old man with end-stage renal disease (ESRD), hypertension, hyperlipidemia, and hepatitis B-induced liver cirrhosis was evaluated after a computed tomography (CT) scan of his abdomen revealed an unexpected finding of cardiomegaly with moderate to large pericardial effusion. Subsequent transthoracic echocardiograms revealed moderate pericardial effusion without tamponade physiology but with increased interventricular septal [...]

Case Presentation: This abstract highlights Chagas Cardiomyopathy (CCM) and aims to elucidate key features and improve understanding and patient outcomes.A 49-year-old Honduran male with a two-year history of HFrEF (EF 25-30%) secondary to non-ischemic cardiomyopathy of unknown etiology and prior embolic stroke presented with nine days of worsening dyspnea, palpitations, and RUQ pain despite GDMT [...]

Case Presentation: A 63-year-old female with past medical history of hypertension, hyperlipidemia, and tobacco use presented to the emergency room with one hour of substernal chest pain radiating to the left arm associated with nausea and dizziness. On examination temperature 98.4°F, blood pressure 160/93, heart rate 93, respiratory rate 19, saturating 98% on room air; [...]